- UPMC (Somerset, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... FOR RN OPENINGS IN SOMERSET AREA! Are you a nurse looking for a rewarding career where you can...and compassionate registered nurses to join our home health nursing team! You'll work in a home setting with… more
- UPMC (Pittsburgh, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... **UPMC Home Health is hiring a Registered Nurse for the Uniontown Area** Are you a...skilled, compassionate registered nurses to join our home health nursing team! You'll work in a home setting with… more
- UPMC (Pittsburgh, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... UPMC Home Health is Hiring a Full-Time Registered Nurse (RN) for the Uniontown and Surrounding Areas...skilled, compassionate registered nurses to join our At Home nursing team! You'll work in a home setting with… more
- UPMC (Seven Fields, PA)
- …establish patients' plans of care in collaboration with physicians, patients, and utilization management (UM) professionals to meet physicians' orders and ... Bellevue, Observatory Hill, and surrounding areas. Are you a nurse looking for a rewarding career where you can...and compassionate registered nurses to join our home health nursing team! You'll work in a home setting with… more
- St. Luke's University Health Network (Bethlehem, PA)
- …, including but not limited to: Social workers, assistants, coordinators, utilization management staff, and director. + Facilitates communication among ... regardless of a patient's ability to pay for health care. The Registered Nurse Care Manager is responsible for coordinating the complex discharge planning needs of… more
- Penn Medicine (Philadelphia, PA)
- …hospice, community resources, transportation, and quality data collection and risk management referral. Responsibilities: + Utilization management ... candidate for this position must be a seasoned med/surg nurse with a minimum of 5 years' experience in... with a minimum of 5 years' experience in Utilization review and 3 years of experience in the… more
- Sharecare (Harrisburg, PA)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and case… more
- St. Luke's University Health Network (Allentown, PA)
- …for admission and/or referral to appropriate level of care. + May assist in the utilization management of psychiatric cases in the absence of the utilization ... and effective communication with patients, families, community agencies, physicians, nursing staff, department managers, ancillary departments, and the Manager… more
- Health Advocates Network (Harrisburg, PA)
- …as a Registered Nurse issued by the Pennsylvania State Board of Nursing ; or Possession of a non-renewable temporary practice permit issued by the Pennsylvania ... setting, behavioral health setting, drug and alcohol setting, managed care, quality management / utilization review or other related clinical experience; or An… more
- UPMC (Pittsburgh, PA)
- …concerns. + Minimum of 2 years of experience in a clinical setting and case management nursing required. + Pediatric nursing experience highly preferred. + ... Are you an experienced Pediatric nurse with care management experience? We...interdisciplinary team summarizing clinical and social history, healthcare resource utilization , case management interventions. Update the plan… more